Individual
JOANNA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14195 SW ALLEN BLVD, BEAVERTON, OR 97005-4408
(503) 626-2166
(503) 641-6665
Mailing address
14195 SW ALLEN BLVD, BEAVERTON, OR 97005-4408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19469
OR
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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